Individual
MRS. COURTNEY SAVANNAH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
45 OLGUIN RD, JARALES, NM 87023-9703
(505) 290-4632
Mailing address
45 OLGUIN RD, JARALES, NM 87023-9703
(505) 290-4632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0114941
NM
Other
Enumeration date
08/25/2008
Last updated
09/17/2015
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